财产险投保单(2009版) 英 V1

中国人民财产保险股份有限公司财产××险（2009版）投保单 PICC Property and Casualty Company Limited Proposal Form for ×× Insurance (2009)Proposal Form NO.：**********************中国人民财产保险股份有限公司财产××险（2009版）投保标的项目清单PICC Property and Casualty Company LimitedList of Items Insured for ××Insurance (2009)本清单为财产××险（2009版）投保单的有效组成部分。

This List shall be an effective part of the Proposal Form for ××Insurance (2009)投保单号码：共页第页Proposal Form No.: Page of注：投保标的为特约标的时，请在备注栏中注明“特约”字样。

Note: If an Item Insured shall be specially agreed by the Insurer, please state “specially agreed” in the Remarks.投保人（盖章）Signature of Applicant (Stamped)年月日Date:年月日Date:中国人民财产保险股份有限公司财产××险（2009版）附加险条款投保清单PICC Property and Casualty Company LimitedList of Extension Clauses for ××Insurance (2009)本清单为财产××险（2009版）投保单的有效组成部分。

This List shall be an effective part of Proposal Form for ××Insurance (2009)投保单号码：Proposal Form No.: 共页第页Page of注：对于需明确保险价值、地域范围等信息的附加险条款，请在“备注”栏内填写相关信息。

Note: If the Insured Value, territory or other information shall be specified in the Extension Clauses, please fill in such information in Remarks.投保人（盖章）Applicant’s Signature (Stamped)年月日Date:中国人民财产保险股份有限公司财产××险（2009版）风险问询表－－生产性企业PICC Property and Casualty Company LimitedQuestionnaire for ××Insurance (2009) ---- Manufacturing risk一、基本概况1. Basic Information企业名称：Name of enterprise:详细地址：邮政编码：Address:Postal code:国有企业□私有企业□ 合资企业□其他□□State-owned enterprises □Private enterprise□Joint Venture□Others保险财产处于河（海、湖、水库）边，相距米□山坡上□ 山脚下□ 低洼处□ 平原□The Property Insured is located□at the riverside (seaside or side by lake or reservoir), with distance between of M □on the hillside□at the foot of the hill□in low-lying areas□on the plain保险财产的周围环境投产时间年月Production initiating date: year month二、生产过程2. Procedure产成品：Products主要原料：Major materials:主要产品及年产量：Major products and annual output:主要生产设备的制造年份及制造商：（有投保项目清单的可不填）Manufacturing Date and Manufacturer of the major machinery and equipments. (you can ignore this, if such工艺流程图随件附上□无法提供□Procedure Chart is □Attached or □N/A生产工艺采取常温□ 高温，最高温度为度□常压□ 高压，最高压力为MPa□Which of the following is used in the procedure?□Normal temperature□High temperature, with highest temperature of ℃□Normal pressure□High pressure, with highest pressure of MPa主要生产过程自动化□ 机械操作□ 手工操作□Major Procedure is □automatic, □mechanized or □manual.带明火操作烤炉□熔炉□干燥机□加热器□其他□If the manufacturing procedure is with fire, which of the following machinery or equipment is used?□oven □smelter □drier □heater □others易燃易爆品液体□气体□气雾剂□其他□If any Inflammable and explosive material is used, please state whether it is □liquid, □air or □aerosol.无尘室无□有□Is there any dust-free workshop? □YES □NO等级100,000□ 10,000□ 1,000□ 100□ 其他□If YES, the dustiness degree is □100,000, □10,000 , □1,000, □100, or □others.三、存货物资3. Stock储存方式仓储□ 露堆□ 罩棚□其他□The stock is stored□in the warehouse□in the open air□under the awning□in other places存储地点如多个地点，需列明1.2.3.Please state the Location(s) of Storage:1.2.3.易燃易爆物质无□有□ 名称独立的符合防火防爆要求的仓库内无□有□Is there any Inflammable and explosive material? □YES □NOIf YES, please state the name:If YES, is it stored in an independent fire-proof and explosion-proof warehouse? □YES □NO主要仓储物品名称易燃□、可燃□、难燃或不燃□名称易燃□、可燃□、难燃或不燃□名称易燃□、可燃□、难燃或不燃□Please provide information about the major stock:Name of stock: It is □flammable , □combustible, □noncombustible.Name of stock: It is □flammable , □combustible, □noncombustible.Name of stock: It is □flammable , □combustible, □noncombustible.液体储罐所储存的可燃物质名称体积Combustible material stored in liquid storage tank.Name:Volume:防灭火设施防雷电口防静电口防明火口自动灭火装置口Fire protection facilities for the stocks:□lightning protection facility□electrostatic prevention facility□fire prevention facility□automatic fire extinguishing equipment上年度存货量最大值平均值Value of stock last year:Maximum value:Average value:四、建筑物情况4. Building(s)自有□租用□□owned or □rented.有无共用单位有□无□Is/are the building(s) used with others? □YES □NO厂区平面图随件附上□无法提供□The layout of the factory is □attached □N/A.主体建筑物结构Note:1.建筑物结构：A钢筋混凝土结构B钢结构C砖砌/石头D木材E其他，请注明；1. Structure:A. reinforced concrete structure,B. steel structure,C. Brick or stone structure,D. Wooden structure,E. others, please state here:2.占用性质：A办公B宿舍C仓储D生产(要注明类别:如机器加工、热处理、喷漆、装配、电镀、焊接、注塑、印刷、粉碎等)；2. Occupation:A. Office;B. Dormitory;C. Warehouse;D. Plant (Please specify the type of work, for example, machining, heat treating, spray-painting, assembling, electroplating, welding, injection molding, printing, pulverizing, etc. )3.对于非单一用途的多层建筑物要说明每一层次的使用情况。